Sedalia Eye Associates, P.C.

Sedalia Eye Associates, P.C. was paid $3K by Medicaid between Aug 2018 and Jan 2023, across 5 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 57% of everything it billed.

33Billing provider infoSEDALIA EYE ASSOCIATES, P.C.
SEDALIA, MO 65301

33aNPI1154327567assigned 06/22/2005

33bProvider typeOphthalmology Physician

28Total paid$3K

24GClaims113

24DCodes billed5

24AFirst – last monthAug 2018 – Jan 2023

Compared with peers

Next to other Ophthalmology Physician providers in Missouri

Rank by total paid#59 of 83

Median peer was paid$19K

This provider vs. median0.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	14	$17.57
2019	35	$435.39
2022	36	$2K
2023	28	$906.53

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	57%	19	13	$2K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	27%	13	12	$864.55
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	8.9%	14	12	$285.10
92136		4.7%	21	13	$150.29
92015	Determination of refractive state	2.2%	46	39	$69.87

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCOX, MARK (OWNER)